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在一名成年患者中使用猪主动脉根部重建巨大主肺动脉瘤

Reconstruction of a Giant Main Pulmonary Artery Aneurysm Using a Porcine Root in an Adult Patient.

作者信息

Cuko Besart, Haddani Othmane, Baudo Massimo, Busuttil Olivier, Labrousse Louis

机构信息

Department of Cardiology and Cardio-Vascular Surgery, Hopital Cardiologique de Haut-Leveque, Pessac, FRA.

Department of Cardiac Surgery, ASST Spedali Civili di Brescia, University of Brescia, Brescia, ITA.

出版信息

Cureus. 2023 Jul 12;15(7):e41752. doi: 10.7759/cureus.41752. eCollection 2023 Jul.

Abstract

Pulmonary artery aneurysm (PAA) is a rare disorder with a difficult diagnosis and debated management in literature due to the limited number of cases. Even if the definitive treatment of PAA is surgery, consistent guidelines still need to be developed to help surgeons determine when intervention is appropriate. We report a case of a 77-year-old female diagnosed with central PAA measuring 61 mm at contrast-enhanced computerized tomography scan which was treated surgically. The patient underwent a successful elective complete pulmonary root replacement with a Medtronic Freestyle (Medtronic Inc, Minneapolis, MN) porcine root. Postprocedural recovery and follow-up at 12 months were uneventful.

摘要

肺动脉瘤(PAA)是一种罕见的疾病,由于病例数量有限,其诊断困难,文献中关于治疗的争议也较大。即使PAA的确定性治疗方法是手术,但仍需要制定统一的指南,以帮助外科医生确定何时进行干预是合适的。我们报告了一例77岁女性患者,经增强计算机断层扫描诊断为中央型PAA,大小为61mm,接受了手术治疗。该患者成功接受了择期完全肺动脉根部置换术,使用的是美敦力Freestyle(美敦力公司,明尼阿波利斯,明尼苏达州)猪主动脉根部。术后恢复顺利,12个月的随访结果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f752/10421346/f07584f1bb6b/cureus-0015-00000041752-i01.jpg

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